Volunteer With Us

Your Information First Name: _*

Last Name: _*

Email: _*

Home Phone:

Cell Phone: _*

Emergency Contact Information First Name: _*

Last Name: _*

Relationship to Contact: _*

Home Phone:

Cell Phone: _*

Volunteer Categories

Fort Road Bingo - FRB

West End Bingo - WEB

Casino

Presentations

Subscription

I would like to receive the VAD Digital Newsletter: _*

Yes

No

I would like to receive the VAD Printed Newsletter: _*

Yes

No

I would like to Participate in Surveys: _*

Yes

No

Terms of Service

I have reviewed the Code of Conduct.

I have reviewed the Oath of Confidentiality.

I have reviewed the Terms & Conditions.

Organization Member Registration - $99

To pay online with your Credit Card or PayPal:

Fill the form below
Click on "Next"

To pay by Cheque:

Request a Membership Form from VAD Society
Make out your cheque payable to Voice of Albertans with Disabilities or VAD Society
Send your cheque and completed Membership Form to:
  Voice of Albertans with Disabilities
  406, 11010 101 Street
  Edmonton, AB T5H 4B9

To pay via EFT:

Request a Membership Form from VAD Society
If you would like to pay for your Membership by EFT please contact us at vad@vadsociety.ca

Business Description:

Business Name: _*

Business Phone: _*

Website: _*

Fax #:

Facebook:

Twitter:

Instagram:

Business Category:

Education

Employment

Housing

Medical or Homecare

Social Supports

Transportation

Description of your business or services: _*

Business Address:

Business Address: _*

Region:

Province: _*

Postal Code: _*

Country:

Contact:

First Name: _*

Last Name: _*

Title:

Email: _*

Home Phone:

Cell Phone:

Comments/Details/Additional Notes:

Subscription

I would like to receive the VAD Digital Newsletter: _*

Yes

No

I would like to receive the VAD Printed Newsletter: _*

Yes

No

I would like to Participate in Surveys: _*

Yes

No

Corporate Membership - $150

To pay online with your Credit Card or PayPal:

Fill the form below
Click on "Next"

To pay by Cheque:

Request a Membership Form from VAD Society
Make out your cheque payable to Voice of Albertans with Disabilities or VAD Society
Send your cheque and completed Membership Form to:
  Voice of Albertans with Disabilities
  406, 11010 101 Street
  Edmonton, AB T5H 4B9

To pay via EFT:

Request a Membership Form from VAD Society
If you would like to pay for your Membership by EFT please contact us at vad@vadsociety.ca

Business Description:

Business Name: _*

Business Phone: _*

Business Email: _*

Website: _*

Fax #:

Facebook:

Twitter:

Instagram:

Business Category:

Education

Employment

Housing

Medical or Homecare

Social Supports

Transportation

Description of your business or services: _*

Business Address:

Business Address: _*

Region:

Province: _*

Postal Code: _*

Country:

Contact:

First Name: _*

Last Name: _*

Title:

Email: _*

Home Phone:

Cell Phone:

Comments/Details/Additional Notes:

Subscription

I would like to receive the VAD Digital Newsletter: _*

Yes

No

I would like to receive the VAD Printed Newsletter: _*

Yes

No

I would like to Participate in Surveys: _*

Yes

No

iVad Member Registration - $25

To pay online with your Credit Card or PayPal:

Fill the form below
Click on "Next"

To pay by Cheque:

Request a Membership Form from VAD Society
Make out your cheque payable to Voice of Albertans with Disabilities or VAD Society
Send your cheque and completed Membership Form to:
  Voice of Albertans with Disabilities
  406, 11010 101 Street
  Edmonton, AB T5H 4B9

To pay via EFT:

Request a Membership Form from VAD Society
If you would like to pay for your Membership by EFT please contact us at vad@vadsociety.ca

Member Profile:

First Name: _*

Last Name: _*

Email: _*

Home Phone: _*

Cell Phone:

Date of Birth:

Address:

Address: _*

Region:

Province: _*

Postal Code: _*

Country:

Comments/Details/Additional Notes:

Request Benevolent Membership

Subscription

I would like to receive the VAD Digital Newsletter: _*

Yes

No

I would like to receive the VAD Printed Newsletter: _*

Yes

No

I would like to Participate in Surveys: _*

Yes

No

Book An Appointment

General Inquiry Form

First Name: _*

Last Name: _*

Phone:

Email:

Region:

Address

Province:

Postal Code:

I would like to receive the VAD Digital Newsletter: _*

Yes

No

I would like to receive the VAD Printed Newsletter: _*

Yes

No

I would like to Participate in Surveys: _*

Yes

No

Comments/Details/Additional Notes:

Awareness Presentation

First Name: _*

Last Name: _*

Phone: _*

Email: _*

Address: _*

Region:

Province / State:

Postal Code:

Type of Presentation: _*

School

Business

Workshop (Fee for service)

Lunch & Learn About VAD

Comments/Details/Additional Notes: _*

Accessibility Consultation

Testimonials

First Name: _*

Last Name: _*

Phone: _*

Email: _*

Address: _*

Region:

Province:

Postal Code:

Share Your Story: _*

Can VAD contact you in regards to your testimonial?: _*

Yes

No

Does VAD have your permission to publish your testimonial?: _*

Yes

No

Comments/Details/Additional Notes: